Skip to main content
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 42
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Chen, Yu-Wei Bundy, Anita Cordier, Reinie Chien, Yi-Ling and Einfeld, Stewart 2016. The Experience of Social Participation in Everyday Contexts Among Individuals with Autism Spectrum Disorders: An Experience Sampling Study. Journal of Autism and Developmental Disorders, Vol. 46, Issue. 4, p. 1403.

    Lobban, Fiona and Barrowclough, Christine 2016. An Interpersonal CBT Framework for Involving Relatives in Interventions for Psychosis: Evidence Base and Clinical Implications. Cognitive Therapy and Research, Vol. 40, Issue. 2, p. 198.

    Pot-Kolder, Roos Veling, Wim Geraets, Chris and van der Gaag, Mark 2016. Effect of virtual reality exposure therapy on social participation in people with a psychotic disorder (VRETp): study protocol for a randomized controlled trial. Trials, Vol. 17, Issue. 1,

    Burgin, Chris J. Chun, Charlotte A. Horton, Leslie E. Barrantes-Vidal, Neus and Kwapil, Thomas R. 2015. Splitting of Associative Threads: The Expression of Schizotypal Ambivalence in Daily Life. Journal of Psychopathology and Behavioral Assessment, Vol. 37, Issue. 2, p. 349.

    Chen, Yu-Wei Cordier, Reinie and Brown, Nicole 2015. A preliminary study on the reliability and validity of using experience sampling method in children with autism spectrum disorders. Developmental Neurorehabilitation, Vol. 18, Issue. 6, p. 383.

    Pinheiro, Ana P. Del Re, Elisabetta Nestor, Paul G. Mezin, Jenna Rezaii, Neguine McCarley, Robert W. Gonçalves, Óscar F. and Niznikiewicz, Margaret 2015. Abnormal interactions between context, memory structure, and mood in schizophrenia: An ERP investigation. Psychophysiology, Vol. 52, Issue. 1, p. 20.

    Saillot, I. 2015. Grand angle : variabilité intra-individuelle chez Ninot et Costalat-Founeau (2011), un commentaire dans la perspective de la psychodynamique expérimentale. Psychologie Française, Vol. 60, Issue. 1, p. 69.

    Saunders, Jo Vallath, Smriti and Reed, Phil 2015. Disruptions to processing of self referential emotional material are associated with positive symptoms of schizotypy. Psychiatry Research, Vol. 229, Issue. 3, p. 809.

    Virues-Ortega, Javier and Froján-Parga, María Xesús 2015. A translational approach to the functional analysis of language in psychotherapy. International Journal of Clinical and Health Psychology, Vol. 15, Issue. 1, p. 69.

    2015. Se rétablir de la schizophrénie.

    Huxley, Adam and Fonseca, Andres Saez 2014. The Relationship between Anhedonia and Positive, Negative, and General Symptomatology in Patients with Schizophrenia. Issues in Mental Health Nursing, Vol. 35, Issue. 2, p. 122.

    So, Suzanne Ho-wai Peters, Emmanuelle Roisin Swendsen, Joel Garety, Philippa Anne and Kapur, Shitij 2014. Changes in delusions in the early phase of antipsychotic treatment – An experience sampling study. Psychiatry Research, Vol. 215, Issue. 3, p. 568.

    Montes, José Manuel García Álvarez, Marino Pérez and Garcelán, Salvador Perona 2013. Acceptance and Commitment Therapy and Mindfulness for Psychosis.

    Oorschot, M. Lataster, T. Thewissen, V. Lardinois, M. Wichers, M. van Os, J. Delespaul, P. and Myin-Germeys, I. 2013. Emotional Experience in Negative Symptoms of Schizophrenia--No Evidence for a Generalized Hedonic Deficit. Schizophrenia Bulletin, Vol. 39, Issue. 1, p. 217.

    So, Suzanne Ho-wai Peters, Emmanuelle Roisin Swendsen, Joel Garety, Philippa Anne and Kapur, Shitij 2013. Detecting improvements in acute psychotic symptoms using experience sampling methodology. Psychiatry Research, Vol. 210, Issue. 1, p. 82.

    Strauss, G. P. 2013. The Emotion Paradox of Anhedonia in Schizophrenia: Or Is It?. Schizophrenia Bulletin, Vol. 39, Issue. 2, p. 247.

    Vilardaga, Roger Hayes, Steven C. Atkins, David C. Bresee, Christie and Kambiz, Alaei 2013. Comparing experiential acceptance and cognitive reappraisal as predictors of functional outcome in individuals with serious mental illness. Behaviour Research and Therapy, Vol. 51, Issue. 8, p. 425.

    Ben-Zeev, D. Morris, S. Swendsen, J. and Granholm, E. 2012. Predicting the Occurrence, Conviction, Distress, and Disruption of Different Delusional Experiences in the Daily Life of People with Schizophrenia. Schizophrenia Bulletin, Vol. 38, Issue. 4, p. 826.

    Kimhy, D. Myin-Germeys, I. Palmier-Claus, J. and Swendsen, J. 2012. Mobile Assessment Guide for Research in Schizophrenia and Severe Mental Disorders. Schizophrenia Bulletin, Vol. 38, Issue. 3, p. 386.

    2012. Se Rétablir De la Schizophrénie.


The context of delusional experiences in the daily life of patients with schizophrenia

  • I. MYIN-GERMEYS (a1), N. A. NICOLSON (a1) and P. A. E. G. DELESPAUL (a1)
  • DOI:
  • Published online: 01 April 2001

Background. Global characteristics and psychosocial risk factors related to delusions have been identified. The present study extends these findings to the level of everyday functioning, identifying characteristics of delusional moments (DMs) and contextual risk and protective factors for delusional exacerbations in daily life.

Methods. Data were collected using the Experience Sampling Method (ESM), a time-sampling technique. Forty-eight chronic patients diagnosed with schizophrenia rated the intensity of pathological symptoms and mood states and described their thoughts and the environmental context during consecutive moments in daily life. Delusions were defined on the basis of self-rated suspicion, preoccupation, feeling controlled, and coded thought pathology. Daily context included current activity, persons present and location. Characteristics of DMs and non-delusional moments (nDMs) were compared, and a multilevel logistic regression model was used to identify contexts that might trigger or prevent DMs.

Results. On average, patients experienced delusions less than one-third of the time. DMs were characterized by higher negative affect and lower positive affect. The presence of family or acquaintances decreased the risk of subsequently experiencing a DM, whereas withdrawal from activities increased this risk.

Conclusions. Data support the validity of ESM for investigating delusions in schizophrenia. Daily life contexts appear to alter the probability that delusions will occur. Knowledge about such contexts may therefore be useful in helping patients develop better coping strategies and in creating therapeutic interventions that can lessen emotional distress.

Corresponding author
Address for correspondence: Dr Philippe A. E. G. Delespaul, Department of Psychiatry and Neuropsychology, European Graduate School of Neuroscience, Maastricht University, PO Box 616 (PAR 45), 6200, MD Maastricht, The Netherlands.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *